Hospice Registered Nurse- PRN

Lighthouse Hospice is driven to provide a professional hospice workplace where the employee is respected and valued. We recognize that creating a culture of trust, kindness and appreciation is required to retain the best talent, dedicated to making a difference in the lives of the people we serve. Our team members all have one special thing in common. We deeply care for each other as much as we care for our patients and families. Each member of our team has been carefully chosen, not only for their exceptional skill set but also for their gifts of compassion and respect for others. We found that hiring people for this reason, combined with creating an environment where each individual can showcase their strengths, enables our team to achieve their highest potential. If you are searching for a great place to work, a place where you can make a real difference, where you can learn and grow with some of the best talent in the area, then we would love to speak with you!

Job Title: Hospice Registered Nurse - PRN (as needed/weekends/pay per visit)

Reports to: Clinical Director

Job Summary: The Hospice RN is responsible for providing compassionate, patient-centered nursing care to individuals receiving hospice services. This role ensures the highest quality of care by administering nursing care in the patient’s place of residence, and coordinating care with the interdisciplinary team, patients, families, and referring agencies. The RN supports patients and their loved ones through the end-of-life journey.

Job Qualifications:

Education: Graduate from an accredited Diploma, Associate, or Baccalaureate School of Nursing.

Licensure: Current state license as a registered nurse (RN) and/or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact. Current driver’s license. Valid and current CPR certification.

Experience: Experience as a registered nurse in a clinical care setting. Hospice experience preferred.

Skills: Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Specialized skills preferred in palliation and end-of-life. Strong clinical Assessment and critical thinking skills. Excellent communication skills. Ability to work independently and as part of an interdisciplinary team. Compassionate, patient-focused approach to care. Must read, write, and comprehend English.

Transportation: Reliable transportation and valid auto liability insurance.

Environmental and Working Conditions:

Works in patients’ homes and facilities in various conditions; possible exposure to blood, bodily fluids, and infectious diseases; ability to work a flexible schedule; ability to travel locally; some exposure to unpleasant weather. On- call responsibilities may be required as part of the role.

Essential Functions:

• Provide skilled nursing care, including symptom management, medication administration, and pain relief.
• Conduct comprehensive assessments of patients' physical, functional, psychosocial, and environmental needs.
• Conduct routine and as-needed visits.
• Initiate appropriate preventive and rehabilitative nursing procedures.
• Assess caregivers’ ability to meet patient needs and provide necessary education and support.
• Work closely with physicians, social workers, chaplains, hospice aides, and other team members to provide holistic, patient-centered care.
• Communicate changes in patient conditions to the care team and recommend adjustments to the care plan.
• Inform physicians and other personnel of patient needs, interventions, and responses to care.
• Educate patients, families, and caregivers on disease processes, symptom management, nutrition, self-care techniques, and end-of-life care.
• Provide emotional support, guidance, and education to families and caregivers.
• Assist with end-of-life planning and grief support.
• Maintain accurate and timely documentation in the electronic medical record (EMR).
• Ensure continuity and quality of care through comprehensive clinical and progress notes.
• Follow hospice philosophy, infection control protocols, and regulatory guidelines, including Medicare, Medicaid, HIPAA, and accreditation requirements.
• Participate in quality assessment and performance improvement (QAPI) initiatives.
• Engage in hospice-sponsored training, in-service programs, and professional development.
• Promote the hospice’s philosophy, policies, and best practices for high-quality patient care.
• Demonstrate commitment to professional growth and competency through continuing education.

Benefits: Referral Program and 401(k)

Physical and Mental Effort:

Prolonged standing and walking required, with ability to lift up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient and family individualized psychosocial needs. Requires hand-eye coordination and manual dexterity.